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date: 16 February 2020

Abstract and Keywords

Despite its chronic and unremitting nature and impact on quality of life, unlike other of the anxiety disorders, surprisingly little attention has been paid to the epidemiology, descriptive psychopathology, and treatment of OCD and related spectrum conditions in late life. ERP remains the mainstay of evidence-based psychological treatment, as is the use of SRIs for pharmacological management. The need to evaluate older adults and design treatment interventions, taking individual medical and cognitive limitations into account, is discussed. Recent statistical modeling approaches using older adult samples suggest that addressing the role of beliefs about intrusive thoughts, cognitive decline, and aging in general may be important additions to a cognitive approach to OCD treatment that is unique to older adults.

Keywords: late-life OCD, OCD treatment, hoarding, neurological and medical comorbidity

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